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Rikuo Nura looks like your typical junior high student, but in reality, he is a quarter yokai and is the grandson of Nurarihyon, the leader of all yokai! As the Third Heir to the Nura Clan, Rikuo has successfully brought an end to the territory conflict against the Shikoku yokai. Now, Rikuo must face his most powerful enemies yet—the Hagoromo-Gitsune and her Kyoto yokai! With her absolute power and charisma, the Hagoromo-Gitsune is taking the ancient capital of Kyoto by storm in a quest to fulfill her four-hundred-year-old wish. Joined by the Oshu-Tono Family yokai and the Keikain Clan Onmyoji, Rikuo and his Nura Clan will take on the Hagoro-Gitsune for an epic showdown!
Source: Viz
(Sub) The Nura Clan's Third Heir Awakens
(Sub) Two Justice
(Sub) Yura's Realization
(Sub) Nurarihyon and Princess Yo
(Sub) Towards Today
(Sub) The Legends of Tono
(Sub) Kyokasuigetsu
(Sub) Hagoromo-Gitsune Kyoto Invasion
(Sub) The Grey Onmyoji
(Sub) Hagun
(Sub) Battle Above Kyoto
(Sub) Long-Standing Wish
(Sub) Torii Labyrinth
(Sub) An Ayakashi to Avoid
(Sub) Descent Into Darkness
(Sub) Shared Past
(Sub) Equipping a Hundred Demons
(Sub) Entrust It All to Me
(Sub) A Bond of Trust
(Sub) The Cycle of Rebirth
(Sub) Birth
(Sub) Fragments of the Past
(Sub) Banquet of Darkness
(Sub) Rikuo's Declaration
1 votes
1 votes
This is a review for the two seasons of Nurarihyon no Mago. Having just finished the two seasons I felt compelled to write a review about my impressions. This review does not contain any spoilers but there is information that is suggestive of the plot. Story I want to start off by saying that this anime reminded me highly of Inuyasha. The... read more
A shounen that focuses on the exponential growth of the main character prior to his confrontation of the main villain in the unannounced sequel. I would recommend this series only to those invested in Nurarihyon and willing to wait for a proper conclusion. Part of a Trilogy Sennen Makyou tells the story of an ancient enemy of the Nura clan and how that enemy has affected three generations of the... read more
|Nurarihyon no Mago
|Nurarihyon no Mago Recaps
|TV Special
|Nurarihyon no Mago: Jump Super Anime Tour Special
|Nurarihyon no Mago: Sennen Makyou Recaps
|TV Special
|Nurarihyon no Mago (2012)
|Nura: Rise of the Yokai Clan (Pilot)
|Nura: Rise of the Yokai Clan
Character Design
Original Manga Creator


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User talk:Jsorens
Hello, Jsorens, and welcome to Wikipedia! Thank you for your contributions. I hope you like the place and decide to stay. Here are a few good links for newcomers:
- The five pillars of Wikipedia
- How to edit a page
- Help pages
- Tutorial
- How to write a great article
- Manual of Style
I hope you enjoy editing here and being a Wikipedian! Please sign your name on talk pages using four tildes (~~~~); this will automatically produce your name and the date. If you need help, check out Wikipedia:Questions, ask me on my talk page, or place
{{helpme}} on your talk page and someone will show up shortly to answer your questions. Again, welcome! Dick Clark 20:30, 29 March 2006 (UTC)
- 1 Welcome, redux
- 2 Keep an eye out...
- 3 blanking?
- 4 Khalistan movement
- 5 Free State Project
- 6 Greenland
- 7 blocking
- 8 Please don't modify my deletion of the Aymara entry in the list of separatist movements
- 9 Proposed deletion of New Hampshire Liberty Alliance
- 10 Nomination of New Hampshire Liberty Alliance for deletion
- 11 What's your opinion on whether the Taliban are separatist?
- 12 Lord's Resistance Army
- 13 The so-called Ilirida
- 14 ArbCom elections are now open!
Welcome, redux[edit]
Dr. Sorens, when I welcomed you above, I didn't take the time to mention that I am on the list for FSP, am currently running for office down here in Alabama on the LP ticket, and plan to move to NH within the next year (if I don't win in my race). Keep up the good work, both as a Wikipedian and more broadly as an activist! Regards, Dick Clark 16:44, 15 August 2006 (UTC)
- Thanks, Dick! I hope to see you in NH soon... I haven't moved there yet either, but I do find myself there frequently. It's an exciting place to be. Good luck with your race! --Jsorens 16:47, 15 August 2006 (UTC)
Keep an eye out...[edit]
We seem to once again have someone trying to add a rather bizarre racialist party from Malta to the list of libertarian parties. We went through this before, maybe nine months ago; I know you work in related areas, keep an eye out for it. - Jmabel | Talk 01:33, 14 November 2006 (UTC)
Hi there! Can you help me understand why you blanked the Blood Bound page? -- Mikeblas 01:04, 24 February 2007 (UTC)
- Probably a "speedy delete" is the best course of action, but I didn't get round to proposing one. Either that, or a disambig. I just removed the redirect because of a comment on the Bloodbound page to the effect that the redirect was misleading because of other possible uses of the term "Blood Bound."--Jsorens 16:19, 26 February 2007 (UTC)
Khalistan movement[edit]
Hello, I saw your edits over at Khalistan movement; maybe you can help with a recent edit there that I find problematic (not knowing anything about the conflict however). This diff seems to turn many referenced statements into their opposite, while retaining the references. The editor has a tendency for POV edits. If you don't have time for this, please let me know and I'll try elsewhere. Thanks, AxelBoldt 19:38, 16 August 2007 (UTC)
Free State Project[edit]
Hi! I'm Alex. I agree with you that I was over-zealous in deleting material from the Free State Project. When I re-read the wikipedia pages on WP:Reliable Sources in detail, I realized that it is important to be able to use self-published sources as a reference on themselves, which I think, some of the use in the page was. My reason for deleting the material though is that I saw serious problems with the page feel it is often easier to create WP:NPOV pages by cutting all material and then selectively re-adding it, than it is by selectively deleting. This is especially true on the FSP page because there is a wealth of news coverage of the organization and I think this is a safer place to start.
I also wanted to raise the issue: I am very concerned that you have a WP:Conflict of Interest in editing this page, if it is correct for me to asssume that you are Jason Sorens. I would recommend reading that page, in particular, this section: Wikipedia:Conflict_of_Interest#How_to_avoid_COI_edits. Thank you! Cazort (talk) 02:01, 1 March 2009 (UTC)
- Thanks - I am familiar with the policy & plan to continue adhering to it.--Jsorens (talk) 13:25, 2 March 2009 (UTC)
why dont you help me edit my post to a point where it can stay on the new provinces page?
and here are more groups that want Greenland to join Canada
http://www.facebook.com/topic.php?topic=6568&post=32144&uid=2334935298#/group.php?gid=2334935298 —Preceding unsigned comment added by 126.96.36.199 (talk) 16:25, 31 March 2009 (UTC)
- Let's keep this discussion on the appropriate talk page.--Jsorens (talk) 19:54, 31 March 2009 (UTC)
Actoually, there are many reasons for Greenland to be considered as a new province. They're a lot closer to us then Europe, in both culture and distance. Several Greenlanders want Greenland to leave the Danish Kingdom, and it's unlikely that Greenland could survive as a nation by itself. Also, Denmark is using Greenland as a claim-by-proximity to use the Northwest Passage, which are clearly Canadian Internal Waters. There's already a micro-conflict between Canada and Denmark over Hans Island, All we need is a spark and there could be a war. -DS —Preceding unsigned comment added by 126.96.36.199 (talk) 01:40, 5 April 2009 (UTC)
how do you intend to do that? I use many computers and wifis, so how can you block me? --22.214.171.124 (talk) 16:48, 14 April 2009 (UTC)
Please don't modify my deletion of the Aymara entry in the list of separatist movements[edit]
Please don't revert hastily: I'm not questioning Mapuche separatism/autonomism/whatever. If you don't aggree the Mapuche entry please modify only the Mapuche entry. You just reverted, and with that action you undid my deletion of the Aymara entry. There is no Aymara separatism since Bolivian president Evo Morales is Aymara, vice-president Álvaro García Linera is White but a former member of the (Aymara-inspired) Tupac Katari guerrilla, and, under new Constitution, Bolivia is a Plurinational Republic (therefore Aymara is one of the recognized official languages, there is an Aymara quota in the so-called Plurinational Congress, etc). If you think that there is some serious Aymara separatism in Peru, please show at least one website devoted to Aymara separatism in Peru. In the end, Aymara separatism is impossible in Argentina (since there are no ethnic Aymaras besides inmigrants from Bolivia) or Chile (since ethnic aboriginal (non-Bolivian) Aymaras are very few). 184.108.40.206 (talk) 03:32, 1 February 2011 (UTC)
Proposed deletion of New Hampshire Liberty Alliance[edit]
The article New Hampshire Liberty Alliance has been proposed for deletion. The proposed-deletion notice added to the article should explain why.
While all contributions to Wikipedia are appreciated, content or articles may be deleted for any of several reasons.
You may prevent the proposed deletion by removing the
{{proposed deletion/dated}} notice, but please explain why in your edit summary or on the article's talk page.
Please consider improving the article to address the issues raised. Removing
{{proposed deletion/dated}} will stop the proposed deletion process, but other deletion processes exist. In particular, the speedy deletion process can result in deletion without discussion, and articles for deletion allows discussion to reach consensus for deletion. Rostz (talk) 14:10, 21 October 2011 (UTC)
Nomination of New Hampshire Liberty Alliance for deletion[edit]
A discussion is taking place as to whether the article New Hampshire Liberty Alliance is suitable for inclusion in Wikipedia according to Wikipedia's policies and guidelines or whether it should be deleted.
The article will be discussed at Wikipedia:Articles for deletion/New Hampshire Liberty Alliance until a consensus is reached, and anyone is welcome to contribute to the discussion. The nomination will explain the policies and guidelines which are of concern. The discussion focuses on good quality evidence, and our policies and guidelines.
Users may edit the article during the discussion, including to improve the article to address concerns raised in the discussion. However, do not remove the article-for-deletion template from the top of the article. Rostz (talk) 15:14, 21 October 2011 (UTC)
What's your opinion on whether the Taliban are separatist?[edit]
We have a disagreement over the matter here, and given that you are knowledgeable about separatist movements, your opinion would be helpful for the discussion... Thanks,--Yalens (talk) 22:18, 1 December 2011 (UTC)
Lord's Resistance Army[edit]
Are a secessionist group, aside from being clearly acholi nationalist, recruiting exclusively from their numbers, one of their objectives is a state which comprises of modern Acholiland (Southern South Sudan and Northern Uganda). This is what makes them a separatist group, their wish for a acholiland theocracy which doesn't comprise of any presently existing state. -- Secondat of Orange (talk) 03:16, 27 March 2012 (UTC)
- Please take a look at the ideology section of the LRA page. I would count myself among those academics who find their ideology incoherent at best. Most of their victims have been Acholi.[1] Let's continue this discussion on the appropriate talk page.--Jsorens (talk) 12:53, 27 March 2012 (UTC)
The so-called Ilirida[edit]
Hello. I am from Macedonia and I do know what the political parties said about this so-called movement. It is an isolated group of people who in Tirana said something about non-realistic idea. The idea is not even supported by the majority of the Albanians. The group calls themselves "Assembly of civic patriots". They do not function as a political party in Macedonia, and if they have supporters in Macedonia they will give the statement in Macedonia, not in Tirana. Therefore, do not revert me. DPA is a major Albanian-Macedonian party of the opposition and never proclaimed such thing as Ilirida. Thanks --MacedonianBoy (talk) 19:44, 17 May 2012 (UTC)
ArbCom elections are now open![edit]
You appear to be eligible to vote in the current Arbitration Committee election. The Arbitration Committee is the panel of editors responsible for conducting the Wikipedia arbitration process. It has the authority to enact binding solutions for disputes between editors, primarily related to serious behavioural issues that the community has been unable to resolve. This includes the ability to impose site bans, topic bans, editing restrictions, and other measures needed to maintain our editing environment. The arbitration policy describes the Committee's roles and responsibilities in greater detail. If you wish to participate, you are welcome to review the candidates' statements and submit your choices on the voting page. For the Election committee, MediaWiki message delivery (talk) 13:47, 23 November 2015 (UTC)

subset: commoncrawl


text:
Top Definition
A pleasant, discreet way of talking about the tent-pitching males wake up to in the early hours of the day.
Chris had a good long dose of morning goodness today.
ayon kay Chris Brantley ika-12 ng Nobyembre, 2007
Trending Now
Ang mga sulat are galing sa firstname.lastname@example.com. Kailanma'y hindi kami magpapadala ng spam sa inyo.×


text:
Showing top 8 worksheets in the category - Endothermic And Exothermic.
Once you find your worksheet, just click on the Open in new window bar on the bottom of the worksheet to print or download. Worksheet will open in a new window. You can & download or print using the browser document reader options
Endothermic And Exothermic | Venir | Describing A Picture | Young Ones Of Farm Animals | Conjunctions For Grade 3 | Shiloh Season | Collective Noun | Hindi Comprehension For Class 1 | Noun And Verb | Five Frame | Rainy Season | Volume As An Integral | Simplication Of Fractions Using Bodmas | Hexagons | Types Of Energy | Hindi Letters Matras |


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Cesar Julio Romero, Jr. (February 15, 1907 – January 1, 1994) was an American actor, singer, dancer, voice artist, and comedian who was active in film, radio, and television for almost 60 years....
Connect any celebrity with Cesar Romero to see how closely they are linked... romantically!
With all the women he had ,I find it rumors about him going the other way
Loved him as the Joker on the Batman TV series.
Just because you see a male or a female listedin WDW underthe different Actors or actress does'nt mean that they dated.There are alot of celebs listed that just were friends or working associates in a Movie/ Show or etc.
Don't like any man who has a relationship with another man.
was he gay
thats hard to believe , who puts these matches togather? is it facts or is it here say? because i see a lot of matches that are hard to believe
Desi Arnaz and Caesar Romero was lovers at one time? When I clicked on Desi dates, Caeser Romero shows up. Likewise, when I click Caesar for his dates, Arnaz shows up.


text:
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The following is a look at where each member of the Red Sox (the same Red Sox who are now just three games ahead of the Rays in the Wild Card race) find themselves heading into the regular season's final 16 games:
There is little to complain about when it comes to the center fielder, other than maybe his inability to call off Darnell McDonald and catch Desmond Jennings' fly ball in the 11th inning Saturday night.
His memorable season got another dose of dominance with the road trip, with Ellsbury finishing the seven games hitting .406 with seven extra-base hits and an 1.191 OPS. And just for good measure, during the trip he was 4-for-7 against lefties, boosting his average in the last 17 games against southpaws to .391.
Analysis: While Ellsbury's march toward a possible American League MVP is impressive, what will truly be important in the stretch drive his the ability to set the tone. He currently leads all leadoff hitters with a .380 on base percentage in the top spot. It has to stay that way.
We know that Pedroia has hit a rough patch, going 3-for-31 on the road trip. But the question, and concern, should be revolving around why it is happening. Typically when the second baseman goes through such a stretch it's due to some sort of physical ailment. We don't know that to be the case, although it is understood that he has to continuously deal with his foot and knee.
Part of the answer might be simple over-anxiousness, as was suggested by Red Sox manager Terry Francona when noting that Pedroia might be trying to do too much in an attempt to solve what ails the Sox. On the road trip, according to BaseballAnalytics.org, Pedroia swung and missed 15 times, 11 of which were out of the strike zone.
Analysis: Unless one of the injury issues is cropping up again, the smart money is on Pedroia finding his stroke.
Gonzalez certainly couldn't be pointed to as one of the problems on the road trip, hitting .318 with two homers and an 1.172 OPS. He faced 98 pitches during the stretch, amazingly swinging at just nine which were out of the strike zone.
Perhaps most notably, in the final few games in St. Petersburg he appeared to be taking somewhat more of a leadership role. This is what he told the Boston Herald: ""At the end of the day, we're going to win the wild card or the division. It might not be today, because we've still got a lot of games left. But maybe by the time we play them next week." Definitive stuff.
Analysis: Gonzalez appears to be proactive these days, both at the plate and int he clubhouse. It is a presence the Red Sox will not be able to do without.
Like Gonzalez, Ortiz didn't appear to be the problem on the road trip, hitting .300 with an .820 OPS. It wasn't his best stretch, but it was certainly good enough. He also continued to establish his presence against left-handers, going 3-for-8, putting his average against southpaws to .346.
His production in the cleanup spot, however, hasn't been what it was when hitting fifth, totaling a .277 average and .975 OPS at No. 4 in the order. And he did go just 1-for-6 with runners in scoring position during the trip.
Analysis: Ortiz is going to have to continue what has been a remarkably consistent campaign, especially with the uncertainty regarding Kevin Youkilis' health. An important piece of at the puzzle has become even more important.
Youkilis has bursitis in his hip, and is on his way to a sports hernia. He is also just a few weeks off a back injury that put him on the 15-day disabled list. This we know.
What we don't know is that when he returns -- presumably Tuesday -- how good Youkilis can be. It would be unrealistic to believe the third baseman could produce at his normal level, which still has him with the top OPS among American League third baseman.
Analysis: The Red Sox will need Youkilis to be better than he was upon returning Sept. 2, after which he hit just .185 with a .572 OPS. If he isn't, the middle-of-the-order dyadic changes drastically, whether it's with the No. 4 or 5 spot, taking away one of the Sox' biggest strengths this season.
Lowrie's dip in production may be due to a shoulder ailment that won't go away, but, regardless, the Red Sox could need the infielder more than ever with the uncertainty of Youkilis' health.
He went 0-for-12 on the road trip, and is hitting just .214 from the left side since returning from the disabled list Aug. 8., totaling an overall OPS of .551. He was decent in August, hitting .271, but has begun September going 1-for-20.
Analysis: Lowrie can be a presence in a lineup, as was evidenced earlier in the season when he stormed through April (.368) and the beginning of May. That's what the Red Sox need again, both at the plate and in the field.
The outfielder actually has a five-game hit streak, going 5-for-23 with three doubles, two walks and an RBI on the road trip. But whether because of the lingering effects of the hamstring injury suffered earlier in the season, or not, Crawford simply isn't giving any hint of being the dynamic player the Red Sox signed.
The 30-year-old, who is on the verge of letting Ichiro Suzuki pass him for the second-most stolen bases among active players, hasn't swiped a bag since Aug. 18 (20 games). Also, only two players in baseball have more at-bats than Crawford and fewer than the left fielder's 21 walks.
Analysis: Red Sox need Crawford to show signs of the kind of life he still hasn't put on display.
The shortstop's right shoulder is clearly bothering him, but, as both he and Terry Francona recently pointed out, the ream and the player has been able to manage it. After suffering through a few eye-opening weak throws in Toronto, Scutaro has actually executed a few quality plays in the hole between third and short during the Tampa Bay series.
Offensively, he was the brightest spot on the recent road trip, hitting .464 with an 1.214 OPS and on-base percentage of .500. He also went 6-for-12 with runners in scoring position, continuing a trend. Since August 1, Scutaro is 18-for-36 with runners in scoring position, best in the major leagues.
Analysis: The way Scutaro is playing, the Red Sox desperately need the shortstop's shoulder -- and bat -- to stay healthy.
The outfielder has seemingly weathered the storm that regularly hits rookies at some point during their first full season. After hitting .208 with a .603 OPS in August, Reddick owns a .414 batting average and 1.088 OPS in September.
He has shown to be an asset in the outfield thanks to speed and hustle, although he occasionally experiences lapses (as was evidenced in the missed cut-off man Saturday night). Reddick still rarely plays against left-handed pitching, but did manage to go 1-for-3 in his only chance on the road trip against Toronto lefty Ricky Romero.
Analysis: Reddick certainly has entrenched himself as an asset heading into the final few weeks, even leap-frogging Crawford in the batting order, hitting .343 in his 12 games in the No. 5 spot.
The Red Sox' right field situation certainly isn't the best, as is evidenced by the fact they own the third-worst OPS at the position in the majors. But between Reddick's resurgence and McDonald's work of late, it could be a whole lot worse.
McDonald got over the Mendoza Line for the first time all season Sept. 6, hardly tearing it up -- hitting .262 against lefties since Aug. 1 -- but playing his role well enough. In each of the four games he appeared in on the road trip McDonald reached base.
Analysis: While the 33-year-old doesn't figure to emerge as a bat that will get hot enough to make too big a dent in the final few weeks, he has played well enough to suggest that there will be times for him to leave a positive impression.
The catcher is just 1-for-13 in September, but is coming off an August in which he hit a respectable .250 with a .852 OPS. Since August 27, Varitek also has as many home runs as any Red Sox player (3). A concern is the backstop's .207 average against right-handers.
Varitek had hit a rut in regards to throwing runners out, having allowed 23 straight successful stolen attempts before Jose Bautista was nabbed on Sept. 8.
Analysis: Varitek has remained a valuable piece of the puzzle, and not just because of his work with Josh Beckett. Jon Lester's ERA with the veteran backstop is 2.48, while Daniel Bard's ERA is 0.89.
Saltalamacchia has shown signs that he is ready to become an everyday catcher, as his .783 OPS -- the third-best among American League backstops -- would suggest.
But since August 1 the Red Sox are just 12-14 in games in which Saltalamacchia has appeared, with the 26-year-old hitting just .214 over that span. It is a stretch that has also seen his average drop to .167 (6-for-36) against left-handers.
Analysis: As many strides as he has made this season, Saltalamacchia can still be classified as a work in progress. He has shown, however, he is reliable enough to anchor the position for the stretch drive.
He has brought more to the table than the player he was traded for (Yamaico Navarro) would have, but two recent baserunning miscues have led to some raised eyebrows. He can be considered a pinch-running weapon, having stolen bases in 26 of his last 30 attempts, but after being thrown out to end last Wednesday's game in Toronto, and then being picked off in St. Petersburg that momentum has been slowed.
Since joining the Red Sox, he is hitting .333 (despite only seeing 2.97 pitches per plate appearance). He has somewhat surprisingly been more effective against right-handed pitching with with the Sox, hitting .357.
Analysis: Aviles has the potential to be a very valuable commodity down the stretch, having played five different positions with the Sox without having made an error. Baserunning mistakes aside, the utilityman continues to prove his worth.
Monday was a good day, by all accounts, with Beckett testing his injured right ankle in a bullpen session without incident. While it has yet to be determined, it would seem the Red Sox are eyeing the starter making his next appearance against the Rays later in the week. (A welcome thought for the Sox considering he has allowed just two hits in 17 innings against Tampa Bay this season.)
Since the beginning of August, Beckett hasn't been as dominant as he was in the first half, compiling a 3.54 ERA in his last seven starts, but the team has gone 5-2 during the stretch.
Analysis: When you have a pitcher who has allowed two or lease runs in 18 of his 27 starts, that suggests he is a key element to the team's success. In this case, he might be THE key element.
The lefty didn't step up when the Red Sox needed it the most, allowing four runs in four innings Sunday against Tampa Bay. But it shouldn't be forgotten that before that start Lester had gone on a 15-game run which saw him go 8-4 with a 2.14 ERA.
The good news for the Red Sox is that Lester has typically bounced back from his bad outings in fine fashion, only allowing more than three runs once after surrendering as many as four runs the start before.
Analysis: If Lester can solve his recent first inning problems (batters are hitting .301 against him in the first), the lefty should be OK. The Red Sox at least better hope that's the case.
Before being shut down with a knee and lat ailments, the lefty was heading down a road that would most likely land him with a start in Game 3 of any playoffs series. But, as it stands now, if the lefty doesn't find his way back to the rotation those sort of postseason options might not be a reality.
It has yet to be determined what the timetable is for Bedard, but considering his 3.66 ERA in the six outings with the Red Sox, the pitcher's presence is as valued as virtually anybody on the roster.
Analysis: The Red Sox not only need Bedard to return, they need him to return as the pitcher they had witnessed up until his last start. On September 3, his last outing before being shut down, the lefty didn't throw one pitch over 90 mph. Compare that to his August 22 outing, in which he threw 15 pitches at 92 mph, and it becomes evident how important health is to the equation.
You surely know that Lackey's 6.30 ERA is the highest for any Red Sox pitcher with at least 25 starts … ever. And that opponents are hitting .304 against him, while totaling 180 hits and 11 runs in eight innings over his last two starts.
The question is whether or not Lackey can rebound to vaguely resemble a playoff pitcher. He has allowed less than four runs just once since July 27, a stretch in which the Red Sox are 4-5 in his starts.
Analysis: Using July 22 as his best second-half start -- a seven-inning, one-run outing against Seattle -- it would seem Lackey's stuff hasn't taken a drastic downturn. In that outing he sat at 92 mph (15 times) and 93 mph (7 times). It was the same case in his two September outings, in which he lived at 92 mph (46 times), while hitting 93 mph 18 occasions.
The Red Sox need the knuckleballer to get on one of his runs, with or without the 200th win.
Wakefield has had trouble throwing strikes of late, throwing just 21 of 38 first-pitch strikes in his last two starts. What's fairly impressive is that opponents are hitting just .194 in those pair of games (one a relief outing).
Analysis: It should be noted that Wakefield has allowed three runs or less in 17 of his 30 appearances this season. The issue is that the last time he accomplished the feat as a starter was back on Aug. 3. A resurgence would go a long way.
There simply hasn't been a better closer in baseball in the second half. Papelbon is one of the best runs of his career, having given up a run in his first outing after the All-Star break but nothing since.
Since July 17, Papelbon has pitched in 19 games, allowing just four hits and no runs, while striking out 23 and walking two. Opponents batting average? Just .063. Here's something else: Of the 66 batters Papelbon has faced during that stretch, 48 of them have seen first-pitch strikes.
Analysis: The biggest question is how much Francona will start extending Papelbon. He has still only pitched the eighth inning three times this season, but we may see that changing.
Yes, the reliever has given up runs in three of his last four outings. But that shouldn't take away from the overall image portrayed by Bard. If the Red Sox are to do anything, it can't.
What should be a little disconcerting is that opponents are hitting .385 against the reliever's bread and butter -- the fastball this month.
Analysis: Bard's velocity is something to keep an eye on in the coming days considering he has hit 98 mph that one time this month. That number would seem like a luxury to most, but considering the righty hit it 86 times in July and August, it is worthy discussion.
Dale, Michael and Jerry dig into the details of this draft for the Patriots with ESPN's Mike Reiss.
Giardi and Price discuss the Tom Brady appeal getting overturned and Roger Goodell's victory tour. The guys can't believe the victory lap and some of his behavior. The more you listen to him, the more frustrating his behavior becomes.
Giardi and Price break down how the teams in the AFC East altered their futures after the NFL Draft weekend.
Sam Packard is joined by Celtics 2nd Round draft pick Abdel Nader to discuss his path to the the NBA and how he plans to improve his game. Sam then talks to Player Development Coach Nick Friedman from Elite Skills Training, the pre-Draft camp Nader attended. Friedman also gives his opinion on the Celtics performance at summer league and the development of Jaylen Brown.
Isaiah Thomas talks to Glenn and Lou about why he loves Boston, the NBA Money Bump, oh, and some Durant guy
Danny Ainge joins Glenn and Christian to explain the Celtics draft process; and he also discusses the trade rumors that permeated the night.
Joe Castiglione & Tim Neverett talked to the new Sox reliever, who got his first save for the team today against the Twins.
Christian recaps the Sox 2-1 loss to the Twins. Eduardo Rodriguez had a good showing tonight but couldn't get the run support needed to secure a W. Thoughts on all of that as well as your calls on Red Sox Review.
Red Sox Starting Pitcher Steven Wright joins Glenn, John Tomase, and Tom Caron to discuss pitching the knuckler in adverse conditions, his journey through MLB, and his All-Star experience.
Joey Mac joins Ken Laird on his Saturday show to discuss the David Backes addition and Loui Eriksson departure in NHL free agency
DJ and Pete continue to assess the season that was for the Bruins and look toward the future for the franchise and how they can improve.
DJ and Pete are together for the final Sunday Skate of the season. They get into their overall thoughts on the season, the Bruins keeping Claude Julien on as head coach and the end-of-season press conferences last week. They discuss the rebuild process, what the Bruins need and how they can obtain it. Plenty of callers have their own theories and opinions on all of these topics as well.
Former rock jock Gary Tanguay channels his radio past to attempt to "hit the post" of several classic soft rock favorites as Minihane eggs him on.
Somewhat reluctantly, Kirk and Gary take calls on who would start a one-game playoff for the Red Sox right now between Steven Wright, Rick Porcello and David Price
The 8am hour stays off the rails with Kirk and Gary discussing Ken the producer's sex life and how attractive women find them
Red Sox Starting Pitcher Steven Wright joins Glenn, John Tomase, and Tom Caron to discuss pitching the knuckler in adverse conditions, his journey through MLB, and his All-Star experience.
Acronyms abound, as Glenn, John Tomase, and Tom Caron discuss the MLB Hall of Fame, and PED's. Also, is David Ortiz a Hall of Famer?
Glenn, John Tomase, and Tom Caron discuss Clay Buchholz' current state of limbo.
With less than a week before camp opens up, we discuss some Patriots on a day that just feels like NFL training camp weather.
We talk Sox on a hot summer Friday, and how John Farrell is in a no-win situation with some fans despite the team's performance.
In honor of the passing of coach Dennis Green, we present four of the best NFL Coaching rants (during press conferences) of all time.
Kirk Minihane is joined by Boston comedy legend Lenny Clarke. If you are a fan of stand up comedy this is the podcast for you. Kirk and Lenny talk about Carlin, Pryor, Williams, Murphy and many more.
Kirk Minihane is joined by former ESPN ombudsman and New York Times writer Robert Lipsyte. Kirk and Robert discuss the current state of ESPN and how Robert feels he did in his role as ombudsman. They both criticize ESPN for the lack of journalism at ESPN and look at some of the curious decisions the world wide leader has made in the past few years.
Kirk Minihane is joined by Lenny Dykstra to talk about his book, his life pleasing older women, and Lenny tries to avoid his past issues with money. This is one explosive episode.
Uncle Buck breaks down the WWE Draft and the new rosters for Monday Night Raw and Smackdown Live.
This week we look back at the Open Championship.
Jim Hackett and Pete Davidson are back right on time for the start of the NFL and Fantasy Football pre-draft season. Topics of the day include some news around the league centering on the suspension of Le'Veon Bell, bad news swirling around Ezekiel Elliot and the passing of Coach Dennis Green. Then it's into the fun stuff featuring conversation about the Patriots Offense with the additions of Martellus Bennett and Chris Hogan and a first look at the Top 12 Wide Receivers heading into Training Camp. It's time to gear up for Fantasy Football people, giddy up!
After a few callers argue with Kirk and Gerry about racial profiling in America, the guys get to WEEI's Michael Holley disagreeing with Callahan on the inclusion of Michael Brown into recent examples of tragic deaths of blacks in America.More from this show
Glenn, Lou, and Christian examine the latest Pitcher rumored to be on the Sox' radar.More from this show
Dale, Michael and Jerry talk about the end of it all... Tom Brady will not seek a higher appeal of the US District Court's decision.More from this show
Gerry, Mut and Kirk dig back into the Melania Trump speech on night one of the RNC and discuss how the Trump team will and should handle things going forward.More from this show
ESPN analyst, Stephen A. Smith joins to the show to defend his comments that Tom Brady shouldn't be fighting to the Supreme Court. Glenn, Lou, and Christian demand Stephen explain his reasoning behind calling Brady, "uppity."More from this show


text:
Category:Schools of medicine in London
From Wikipedia, the free encyclopedia
- See also Education in London.
Medical schools attached to universities in London. These tend to be at universities with a recognised propensity towards science.
This category has the following 3 subcategories, out of 3 total.
- ► London School of Hygiene & Tropical Medicine (1 C, 7 P)
- ► St George's, University of London (1 C, 6 P)
- ► United Hospitals (1 C, 15 P)
Pages in category "Schools of medicine in London"
The following 16 pages are in this category, out of 16 total. This list may not reflect recent changes (learn more).


text:
Click on the banner for information on Five Star Gold Verification
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text:
Simon McGrath concludes his blog about the remarkable Prof George Davey Smith's smart ideas for understanding diseases, which may soon be applied to ME/CFS.
Discuss the article on the Forums.
Any thoughts on my dropping BP and temp please?
Discussion in 'Autonomic, Cardiovascular, and Respiratory' started by mermaid, Nov 15, 2013.
Page 2 of 2
Page 2 of 2


text:
Viking Aegir Cruise Review by Murrr: Dangerous
Overall Member Rating
Destination: Europe - Eastern Mediterranean
Embarkation: Budapest
This was our second Viking River Cruise.The first on the Aegir.
We had a room downstairs that was below water level,which made me search out escape routes before we left port.2 ways out.
We stopped in Belgrade and were showen bullet ridden buildings.Returning to the boat there was no security check and the gangway remained unmaned all night.
There were a lot of Buffet meals.
The cabin was tiny ,just bigger than the bed two singles beds,pushed together.
Advertised as a Romantic Danube Cruise ,it was anything but romantic, with war stories and comunnism the main theme
The scenery was nice if you dont mind a polutted river.
I think it will be a few more years ,for this part of the world to get it together Less
Published 08/14/13
Read more Viking Aegir cruise reviews >>
Read Cruise Critic's Viking Aegir Review >>
Cabin review:
Below water level tiny ,148 sq. ft
4 Night Cruise; Southampton to...
One of Our Favorite Cruise Lin...
1st Cruise
Skip the shows and kick off yo...
Well done as long as nothing u...
A fine experience altogether, ...
Tremendous facilities and staf...
Viking runs a superior cruise ...
Great first cruise experience!
Boring and not for the active ...
A superb cruising experience -...
Sponsored Links


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Faces and hands
Challenge #39 in the Telling the Story series. Hosted by CharlesB58.
Challenge has finished
It's been said that hands reveal as much about a person as the face. Have both hands and faces togther in a photograph and what results can be a unqiue and evocative portrait. For this challenge, both the face and one or both hands of a SINGLE SUBJECT must be visible in the frame. The hand(s) can partically obscure the face as seen in the example, but not completey cover the face.
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my ($sep,$num,@prog,@each);
die "Too few arguments -- for help, try $0 ?\n" if ((@ARGV < 3) && ((@
+ARGV < 1) || ($ARGV[0] !~ /\?|h/)));
$num=shift @ARGV;
print <<MUMBLE if ($num =~ /\?|h/);
Usage: $0 # / p / a /
where # is the number of arguments to take at a time,
/ is any string, used as a separator,
p is the first part, usually the program name, of each command l
+ine, and
a is the list of arguments for p.
For example: $0 1 / unzip / foo bar baz /
will execute:
unzip foo
unzip bar
unzip baz
Or: $0 2 / someprog -osz / these are some args /
will execute:
someprog -osz these are
someprog -osz some args
die "\n" if ($num =~ /\?|h/);
$sep=shift @ARGV;
my $tmp;
push @prog, $tmp while (($tmp = shift @ARGV) && $tmp ne $sep);
push @each, $tmp while (($tmp = shift @ARGV) && $tmp ne $sep);
while (@each)
my @here;
foreach (1..$num) { push @here, shift @each; }
-- Randal L. Schwartz, Perl hacker
Of course, it's been a long time since that URL actually fired off a separate process on my server: it's now a nice mod_perl handler very early in the Trans phase, but the URL is mnemonic enough that I stayed with it. {grin}
For more details on what /cgi/go is and how to code it, see
my WT column where I introduced it to my site.
And I thought xargs was only a Unix thing...
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text:
Dr Vethanayagam has received speaker fees and laboratory support from Astrazeneca, GSK, and Altana. She has also received research support from the Research Institute for Fragrance Materials. All other authors state that they have no conflicts of interest.
Osteoporosis-Related Kyphosis and Impairments in Pulmonary Function: A Systematic Review†
Version of Record online: 18 DEC 2006
DOI: 10.1359/jbmr.061202
Copyright © 2007 ASBMR
Journal of Bone and Mineral Research
Volume 22, Issue 3, pages 447–457, March 2007
Additional Information
How to Cite
Harrison, R. A., Siminoski, K., Vethanayagam, D. and Majumdar, S. R. (2007), Osteoporosis-Related Kyphosis and Impairments in Pulmonary Function: A Systematic Review. J Bone Miner Res, 22: 447–457. doi: 10.1359/jbmr.061202
- †
Publication History
- Issue online: 4 DEC 2009
- Version of Record online: 18 DEC 2006
- Manuscript Accepted: 12 DEC 2006
- Manuscript Revised: 26 SEP 2006
- Manuscript Received: 30 JUN 2006
- Abstract
- Article
- References
- Cited By
- osteoporosis;
- spinal fractures;
- kyphosis;
- respiratory function tests;
- vital capacity
- Top of page
- Abstract
- Acknowledgements
We conducted a systematic review to examine the relationship between osteoporotic vertebral fractures, kyphosis, and pulmonary function. Findings suggest modest but predictable declines in vital capacity related to the degree of kyphosis. However, there were only four studies, and all had significant methodologic limitations. Further high-quality research is needed.
Introduction: Our objective was to systematically review the extent to which osteoporosis-related vertebral fractures and kyphosis affect pulmonary function.
Materials and Methods: We used a literature search from 1966 to 2006 (using Medline, EMBASE, and hand searches of references) for studies examining pulmonary function in patients without known lung disease who had vertebral fractures or kyphosis secondary to osteoporosis. Two reviewers independently abstracted data. Heterogeneity precluded formal meta-analysis.
Results: Initial searches yielded 453 articles. After applying eligibility criteria, only four case-control studies of limited quality (e.g., only one study was blinded) remained. Since 1966, only 109 patients (6 men) have been studied. All four studies reported reductions in vital capacity (VC), with values ranging from 68% to 94% of predicted values. This was quantified as a 9% reduction in predicted VC per vertebral fracture in one study. The degree of kyphosis clinically (one study) or radiographically (three studies) correlated with declines in VC; impairments were most notable at kyphotic angles >55°. Statistically significant differences in percent predicted VC were obtained only when arm span or recalled height, rather than measured height, was used (two studies).
Conclusions: Despite conventional teaching, the evidence relating osteoporotic vertebral fractures or kyphosis to pulmonary function is limited. On the basis of available studies, declines in VC secondary to kyphosis seem modest and directly related to the number of vertebral fractures or degree of kyphosis. Future studies need longitudinal follow-up of larger numbers of men and women, appropriate proxies for height, standardized measures for pulmonary function and kyphosis, and efforts to blind outcomes ascertainment.
- Top of page
- Abstract
- Acknowledgements
Osteoporosis is a disorder characterized by compromised bone strength and skeletal fragility that predisposes a person to increased risk of fracture.(1) As the population ages, the incidence of osteoporosis-related complications will continue to rise. Attention to disease sequelae and early intervention remain major public health objectives. Among the screening criteria for osteoporosis, guidelines now suggest clinically apparent kyphosis as one of the indications for BMD testing.(2)
In addition to disfiguring kyphosis, height loss, and chronic back pain, osteoporosis of the spine is thought to result in pulmonary compromise. Whereas kyphosis is a well-recognized consequence of osteoporotic fractures of the spine,(3) there is less emphasis in the literature on the concomitant association with impairments in pulmonary function. Based on data from other neuromuscular diseases affecting the chest wall (e.g., poliomyelitis), we would anticipate that osteoporosis-related kyphosis would lead to a restrictive pattern on standard pulmonary function tests.(4–7) Nonetheless, the prevalence, strength of association, and extent of potential derangements relating osteoporosis and pulmonary function have not been well characterized in the literature. Therefore, our objective was to systematically identify and review all of the currently available literature on osteoporotic vertebral fractures and kyphosis as they relate to impairments in pulmonary function as measured by pulmonary function testing.
- Top of page
- Abstract
- Acknowledgements
Necessary background to inform search strategy
To study osteoporosis-related kyphosis and pulmonary function, standardized measurements are required. Briefly, standard pulmonary function tests (PFTs) include spirometry, lung volume and diffusion capacity, and sometimes maximal inspiratory and expiratory pressures. PFT results are analyzed and reported in comparison with standardized reference values for each parameter. Reference values are generally based on age, sex, and height, but variations in the formulas used to generate these values may alter or influence test results. Germane to this review is the ascertainment of "height" in patients with osteoporosis-related kyphosis—it may be recorded as current (as directly measured), historical (as recalled by the patient(6)), or predicted (using arm span(4,8–10)). Test results may vary widely if alternatives for measured height are used or not reported. Several authors have proposed that arm span should be used as a surrogate for height in all patients with clinically apparent kyphosis,(4,8) but this recommendation is rarely followed. Similarly, the degree of kyphosis itself can be measured clinically using a variety of techniques.(11–14) Kyphosis may be measured by rib–pelvis measurements,(12,14) wall-occiput measurements,(12,14) height measurements,(8,15) or radiographically using quantitative vertebral body analysis or calculation of "Cobb's angle."(16) Again, severity of kyphosis is rarely reported in a standardized fashion.
Search strategy
We systematically searched the published literature using Medline (1966 to February 2006) and EMBASE (1988 to February 2006) for studies that examined the association between osteoporosis-related kyphosis and impairments in pulmonary function. References of all studies included in the review were also hand-searched, and we consulted with content experts. The search strategy itself was constructed with input from expert clinicians, epidemiologists, and professional librarians.
All English-language studies were included if they examined vital capacity (as measured by PFTs) in a series of patients with osteoporosis-related kyphosis or vertebral compression fractures that had been published through February 2006. Studies that considered patients with chronic lung disease that developed osteoporosis as a result of the lung disorder or its treatment were excluded. We also excluded studies that did not use PFT to assess vital capacity; studies of patients with kyphosis or kyphoscoliosis if the reason for these abnormalities was not related to osteoporosis; studies that described respiratory changes secondary to neuromuscular disease rather than osteoporosis-related kyphosis; and case reports or narrative reviews.
The following search terms were used: osteoporosis, kyphosis, spinal fractures, vertebral fractures, respiratory mechanics, lung compliance, forced expiratory volume, respiratory function tests, lung volume measurements, ventilatory capacity, FEFR, FEV1, FVC, vital capacity, VC, and spirometry (see Appendix 1 for the complete search history). Two reviewers (RAH, SRM) independently abstracted all of the data, and any discrepancy related to inclusion/exclusion or data interpretation was resolved by a consensus of investigators. In addition, each of the included studies was assessed by two reviewers for methodologic quality using a previously validated checklist(17) designed for observational (nonrandomized) studies. This checklist, published by Downs and Black,(17) attempts to assess and quantify the quality of reporting, internal and external validity (including bias, confounders, and generalizability), and power. The maximum score is 32; in their initial validation work, the mean (and median) quality scores for nonrandomized studies was ∼12 (38%).(17) In the absence of a reference standard, we considered a score of 12 or greater to define acceptable quality, and for ease of interpretability, present percentage scores out of a total of 32. With the previously mentioned differences in the measurements and reporting of kyphosis and PFT reference values related to height, combined with a paucity of available studies on this subject, we anticipated a priori that it would be difficult to quantitatively summarize the evidence and that the quality and heterogeneity of the data would preclude formal meta-analysis.
- Top of page
- Abstract
- Acknowledgements
Figure 1 is a QUOROM(18) diagram that shows the overall yield of our search. The search generated a total of 453 articles in Medline or EMBASE. Of these, 55 articles were duplicated between the databases. A further 250 citations were excluded on our first screen on the basis of their titles and abstracts being deemed not relevant to the question of interest. This left 148 articles. One hundred twenty articles were excluded on the basis of their title and abstract, because they did not relate to osteoporosis (n = 64) or kyphosis (n = 1), they did not use formal PFTs to assess vital capacity (n = 12), they involved an underlying chronic lung disease such as asthma as the primary problem being studied (n = 13), or the title and abstract were not relevant (n = 30). This left 28 articles for review and possible abstraction. After detailed review, this left four articles that both addressed the question of interest and that met our inclusion and exclusion criteria. Agreement between reviewers on inclusion and exclusion of studies was 100%; similarly, there was 100% inter-reviewer agreement for the abstraction of important data elements. A list of excluded references is available on request.
In summary, there were no moderate or large prospective, blinded, longitudinal studies addressing our question of interest. We identified four case-control studies of varying methodologic quality (Tables 1 and 2). The mean (and median) score for the four case-control studies included in our review (and summarized in detail below) was 12 of a possible 32 points (38%). Two of the four studies scored >12 but still only obtained scores of 40% and 47%, respectively. The four studies that were identified are summarized below, in chronological order, and outlined in full detail in Table 1 (study characteristics) and Table 2 (results).
Leech et al. (1990)
These investigators examined 74 consecutively identified Canadian patients referred with clinically "suspected osteoporosis," identified as eligible by chart review.(4) Although there was not an explicitly stated control group, they compared parameters between 29 patients who did not have vertebral fractures and 45 patients who did (vertebral fractures were defined as ≥4-mm differences in vertebral height between the anterior and posterior vertebral body surfaces); furthermore, they pointed out that some of the participants in the group without fractures may not have actually had osteoporosis as it is currently defined by BMD measurement. They report measured height, arm span, and recalled height at age 25 years, but ultimately, arm span was used to calculate reference values for PFT. This was the only study reviewed that included measures of respiratory muscle strength—specifically, the minimal inspiratory and expiratory pressures.
This study showed that women with vertebral compression fractures had significantly decreased percent predicted vital capacity compared with those participants without fractures. The degree of kyphosis, based on Cobb's angle, also predicted decreased vital capacity. Using a split-sample technique, "approximately half" of their patients were used to derive a regression equation to predict decline in vital capacity attributable to each vertebral fracture. This prediction rule was validated in the rest of their population. The authors concluded that each additional thoracic vertebral compression fracture was statistically significantly associated with an ∼9% incremental decrease in predicted vital capacity.
Limitations of the study include its small size, restriction to women from one specialty clinic, and outcomes ascertainment that was unblinded. Patients who smoked were included in the analysis, although the authors point out that there was no effect of smoking on forced vital capacity (FVC) in the study population when smoking status was entered into the regression model. Nevertheless, this study achieved the highest methodologic quality score(17) of the four articles in our review (15 of 32; 47%).
Culham et al. (1994)
Culham et al.(5) assessed the relationship between thoracic kyphosis and rib mobility and observed the effects of kyphosis-related rib mobility on changes in pulmonary function. They studied a series of 15 women with osteoporosis and kyphosis and 15 healthy women with (presumably) neither osteoporosis nor kyphosis. They measured weight, height, and arm span; kyphosis was evaluated using an inclinometer, and an electromagnetic device was used to measure rib mobility.
They reported that women with osteoporosis-related kyphosis had significantly lower vital capacity, total lung capacity, lateral rib expansion, and vertical rib excursion compared with age- and sex-matched controls (all comparisons, p < 0.05). There was also a statistically significant inverse correlation between the degree of kyphosis and vital capacity.
This study was limited by the small number of participants restricted to women from an unspecified referral source and the fact it was unblinded. Participants were age-matched, and this allowed comparison of absolute rather than percent predicted lung volumes, although typically height is also factored into percent predicted values. No statistically significant differences in measured height were observed between groups, but as previously suggested, measured height may be altered in patients with kyphosis.(4,8) Patients who smoke or had smoked were included in the analysis, but smoking status was not adjusted for in the presented analyses.
Schlaich et al. (1998)
These investigators compared 34 patients (6 men) with osteoporotic fractures and a similar number of patients with chronic low back pain for reasons other than osteoporosis.(8) Osteoporosis was defined as the presence of at least one compression fracture or deformity on spinal radiographs or by formal bone biopsy. They used recalled height at age 25 years for their PFT reference values; to evaluate kyphosis, they used rib–pelvis measurements, wall-occiput measurements, and thoracic circumference; vertebral fractures were defined by experienced radiologist interpretation.
When using height at age 25 years to generate reference values (but not when actual measured heights were used), they found a small but statistically significant decline in vital capacity and forced expiratory volume in 1 s (FEV1) in patients with osteoporosis-related vertebral fractures compared with those with chronic low back pain. They noted that the declines in pulmonary function were minimal, because patients with osteoporosis had vital capacity and FEV1 >80% predicted. In addition, they noted that reductions in the rib–pelvis distance were significantly (p < 0.05) associated with declines in vital capacity.
Whereas this is the only study presented to include men, there was no adjustment of matching for age or sex, and the referral source for patients was not specified. This was an unblinded study. There was a higher proportion of patients who smoked in the control group, but a stratified analysis of the distribution of %FEV1 and %FVC did not show statistically significant differences when accounting for smoking status (although actual data are not presented); a formal multivariable adjustment was not undertaken.
Lombardi et al. (2005)
The most recent study to address this issue(7) enrolled a total of 55 women and divided them into three groups: 15 with osteoporosis-related vertebral fractures, 20 with osteoporosis but without vertebral compression fractures, and 20 controls that had neither osteoporosis nor vertebral fractures. Osteoporosis was defined by World Health Organization criteria using bone mineral densitometry. Vertebral fractures (defined as a 20% or greater loss of vertebral body height) were documented using lateral spine radiographs, and kyphosis was radiographically determined by Cobb's angle. Measured height was used to generate reference values for PFT.
Lombardi et al. reported that women with osteoporosis-related vertebral fractures had lower absolute FVC and lower FEV1 values compared with women with osteoporosis alone or their controls (all reported comparisons, p < 0.05). There were, however, no statistically significant differences between the women with osteoporosis alone and control patients. They also found a negative correlation between kyphosis and percent predicted FEV1 when using measured height for reference values. When they examined kyphosis in more detail, their data suggested that a Cobb's angle of 55° or more caused significant impairments in pulmonary function, with declines in both absolute and percent predicted FEV1 and FVC. This degree of kyphosis is consistent with the data of Culham et al.(5) described above: their patients had a mean Cobb's angle of ∼58°.
Limitations of this study include that it was restricted to female patients from one hospital's specialty clinics, groups were not age-matched, and the sample size was small. However, this was the only study that had blinded ascertainment of outcomes and the only study to exclude patients who smoke.
- Top of page
- Abstract
- Acknowledgements
In a systematic review of the literature, we found limited, but suggestive, evidence that osteoporosis-related kyphosis is associated with some impairment in pulmonary function. Reviewed studies suggest that a restrictive pattern in pulmonary function predominates and that this is directly related to the number of vertebral fractures present(4) and clinical measures of kyphosis.(5–7) This is not necessarily unexpected, because there is a strong relationship between the number of vertebral fractures and kyphosis(3) and height loss.(15) The relationship, in at least one study, between the number of vertebral fractures and decrements in vital capacity seems direct, graded, and linear.(4) It is also noteworthy that in the only study that was blinded and that excluded smokers,(7) kyphosis angle was negatively correlated with percent predicted FEV1. Declines in maximal forced expiratory flows were also observed in the women with osteoporotic fractures. Whereas both of these findings might suggest the possibility of obstructive deficits, as the authors themselves point out, none of the study groups actually met accepted criteria for the diagnosis of airflow obstruction, and they question whether the changes in forced expiratory flows were simply related to decreases in lung volumes—that is, the known interdependence between degrees of pulmonary restriction and some measures of airflow obstruction.(7) Last, only one study assessed and reported respiratory muscle strength,(4) and none of the studies included assessments of respiratory muscle endurance. Both these factors are thought by some to be associated with impairments in pulmonary function.(19)
Unfortunately, the available studies are all limited by the small numbers of patients included in general (only 109 studied since 1966), and the fact that only six men have apparently ever been studied. Small and limited sample sizes may reflect the fact that osteoporosis is still an under-recognized disease that remains undertreated even when it is recognized.(20,21) We caution readers in interpreting data presented herein because, although results seem consistent between all four included studies, the evidence is not necessarily robust nor high quality in terms of internal or external validity. Clearly there is a need for further study. Why? In addition to the potential for pulmonary and nonpulmonary morbidity,(1,5,7,20) there is mortality associated with osteoporosis-related kyphosis.(20,22–24) Women with radiographic evidence of vertebral fractures have an increased mortality rate and have been noted to have two to three times the likelihood of dying from pulmonary causes than women without vertebral fractures.(22) Furthermore, severe kyphosis is strongly predictive of pulmonary death.(22) It has been proposed that those with underlying lung disease and decreased respiratory reserves may not tolerate the further superimposed restrictive changes resulting from vertebral fractures.(4,22) Delay in recognizing ventilatory compromise, even of a modest degree, may lengthen the time before introducing interventions such as supplemental oxygen, noninvasive ventilation, and perioperative pulmonary care and may lead to a systematic underappreciation of the severity of respiratory tract infections. Severe cases of osteoporosis-related kyphosis are often recognized, but only late in the disease course, and earlier or more subtle cases may be missed altogether. Better understanding of the relationships between osteoporosis, kyphosis, and pulmonary function is thus of clinical importance.
Our review also serves to show some of the endemic problems facing investigators trying to study this difficult question. The lack of standardized techniques used for clinical assessment of kyphosis and PFT measurements between individual studies is problematic. This latter issue is best shown in the context of which "height" measure was used to generate reference values. Whereas a variety of alternatives were used in the studies we reviewed (measured height, recalled height, arm span), the use of arm span as a surrogate for height in special circumstances, such as clinically apparent kyphosis, has been strongly recommended in the past.(4,8) Teramato et al.,(8) for example, have gone so far as to suggest that arm span should be used in all older individuals with osteoporosis, irrespective of the presence of clinically apparent kyphosis.
For future researchers to advance the field, it might be useful to describe what we would consider to be the methodologically ideal approach. We believe that the ideal study would be a prospective, longitudinal, blinded outcomes ascertainment, inception cohort study that includes large numbers of nonsmoking men and women recruited from multiple referral sources and that collects detailed and standardized information at multiple points in time for at least 4–5 years. It should exclude patients with known lung disease and ideally those with any smoking history. The diagnosis of osteoporosis would need to include measures of BMD and information about osteoporosis-related risk factors and prior fracture history. Laboratory measures, at least at baseline, would include PTH and vitamin D levels and inflammatory markers. It would include assessment of multiple variables including clinical measurements for kyphosis and height, standard PFTs, and measures of respiratory muscle strength and endurance, and it would take into account sex, age, and ethnicity to allow for exploratory and multivariate analysis. Obviously, this ideal study is a major (although we think necessary and justifiable) undertaking. A feasible and pragmatic alternative, at the least, would be to collect the same data described above from a population-based cross-section of male and female patients (perhaps even nested within an established cohort study) with large enough numbers to permit adequate power to draw valid conclusions and either refute or confirm the studies included in our review.
Whereas the quality of, and the differences between, the studies included in our review may limit the strength of inference, our aim was to systematically increase awareness of the potential importance of the clinical association between impairments in pulmonary function and osteoporosis-related kyphosis. There is clearly a need for more research. Our review shows the pitfalls that future investigators need to avoid if they are to advance the field. In the meantime, our results suggest that busy physicians should consider paying more attention to the pulmonary status of patients with, or at risk for, osteoporosis-related fractures of the spine.
- Top of page
- Abstract
- Acknowledgements
We thank Janice Varney, MLIS, who helped us create and refine our search strategy. Without her generous efforts on our behalf, the study could not have been done with as much rigor or efficiency. We also thank Jeanette Buckingham, MLIS, for her supportive instruction and guidance at earlier stages of this work. Dr Majumdar receives salary support awards from the Alberta Heritage Foundation for Medical Research (Population Health Investigator) and the Canadian Institutes of Health Research (New Investigator).
- Top of page
- Abstract
- Acknowledgements
- 1
- 22002 Osteoporosis. Canadian consensus on menopause and osteoporosis. J Obstet Gynaecol Can 24: 35–45., , , ,
- 32002 Evaluation of spinal curvatures after a recent osteoporotic vertebral fracture. Joint Bone Spine 69: 201–208., , , , , ,
- 41990 Relationship of lung function to severity of osteoporosis in women. Am Rev Respir Dis 141: 68–71., , , ,
- 51994 Thoracic kyphosis, rib mobility, and lung volumes in normal women and women with osteoporosis. Spine 19: 1250–1255., ,
- 61998 Reduced pulmonary function in patients with spinal osteoporotic fractures. Osteoporos Int 8: 261–267., , , , , , ,
- 72005 Evaluation of pulmonary function and quality of life in women with osteoporosis. Osteoporos Int 16: 1247–1253., , , ,
- 81999 Substitution of arm span for standing height is important for the assessment of predicted value of lung volumes in elderly people with osteoporosis. Chest 116: 1837–1838., ,
- 91989 The relation between height, armspan, and forced expiratory volume in elderly women. Age Ageing 18: 113–116.
- 101999 Interpreting spirometric data: Impact of substitution of arm span for standing height in adults from North India. Chest 115: 557–562., ,
- 112005 Accuracy of height loss during prospective monitoring for detection of incidental vertebral fractures. Osteoporos Int 16: 403–10., , , , , , , , , , ,
- 122001 Accuracy of physical examination for detection of thoracic vertebral fractures. J Bone Miner Res 16: S1; S274., , ,
- 132003 Accuracy of physical examination using the rib-pelvis distance for detection of lumbar vertebral fractures. Am J Med 115: 233–236., , ,
- 142004 Does this woman have osteoporosis? JAMA 292: 2890–2900., , , ,
- 152006 The accuracy of historical height loss for the detection of vertebral fractures in postmenopausal women. Osteoporos Int 17: 290–296., , ,
- 161984 Outline for the study of scoliosis. Edwards JW (ed.) American Academy of Orthopedic Surgeons. The Academy, Ann Arbor, MI, USA, 261–275.
- 171998 The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. J Epidemiol Community Health 52: 377–384.,
- 18for the QUOROMGroup 1999 Improving the quality of reports of meta-analysis of randomized controlled trials: The QUOROM statement. Lancet 354: 1896–1900., , , , , ,
- 192003 Pulmonary function tests, respiratory muscle strength, and endurance of patients with osteoporosis. South Med J 96: 423–426., , , , ,
- 202003 Low frequency of treatment of osteoporosis among postmenopausal women following a fracture. Arch Intern Med 163: 2052–2057., , , , , , , ,
- 212005 Influence of fracture history and bone mineral density testing on the treatment of osteoporosis in two non-academic community centers. Osteoporos Int 16: 208–215., , , , , ,
- 221999 Vertebral fractures and mortality in older women. Arch Intern Med 159: 1215–1220., , , , ,
- 231993 Population-based study of survival after osteoporotic fractures. Am J Epidemiol 137: 1001–1005., , , ,
- 242005 Incidental vertebral fractures discovered with chest radiography in the emergency department: Prevalence, recognition, and osteoporosis management in a cohort of elderly patients. Arch Intern Med 165: 905–909., , , , , , , ,


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- Anonimo
- Belgio, Coppia, 25-30
- Nomade principiante
- 3 Recensioni
Dit was een ongelofelijk hostel. Zeer gezellig proper rustig en super tof!! Echt top jammer dat ons verblijf van korte duur was.
- Anonimo
- Canada, Femmina, 41+
- Nomade principiante
- 1 commento
We arrived late and were only there for the 1 night but it was comfortable and quiet and full of friendly people. Definitely recommending this to others travelling through the area. The adjoining restaurant also has an amazing selection of good food.
- Anonimo
- Svizzera, Femmina, 25-30
- Nomade principiante
- 3 Recensioni
Staying at this hostel is awesome and so comfy! The crew is gentle, easy-going and they really care about their guests and know all of their guests names! Everything is clean and tidy :) The only "unlucky" thing is that the hostel is close to the railways. So at night it is quite loud sometimes because of the "cargo-trains". But I just can higly recomment to stay at this place!!
- Anonimo
- Stati Uniti d'America, Maschio, 41+
- Viaggiatore appassionato
- 15 Recensioni
I enjoyed my stay very much and the staff was both very helpful and kind. No complaints whatsoever outside perhaps having larger and more secure lockers available to the dorm guests - there's plenty of space in the open area upstairs to install a battery of quality metal lockers that would do the trick and probably not be that much of an investment (while getting the smaller lockers out of the rooms and freeing up a little space. Another successful concept is to have lockers under the bunks...
- Anonimo
- Australia, Maschio, 31-40
- Globetrotter
- 58 Recensioni
Great hostel. Excellent facilities. The owner Jerome is very helpful and will give you a good rundown of what to do around Golden. Not a party hostel but aimed more at bringing together other hikers and adventure tourists. Very reasonably priced. Super clean. Common room does close down by midnight though
- Anonimo
- Germania, Coppia, 25-30
- Nomade principiante
- 6 Recensioni
The Dreamcatcher Hostel is the perfect place to stay, one of the the best hostels in Canada! The beds are very comfortable, the rooms and the kitchen clean and the atmosphere so relaxed. Staff was amazing, helpful and so friendly and the two dogs are so cute. We would love to come back one day!
- Anonimo
- Canada, Maschio, 41+
- Nomade principiante
- 1 commento
Location is right in front of active railway tracks. Trains running through town PAST HOSTEL QUIET HOUR made it moot to even have Quiet Hour. Was awakened by trains rumbling past the hostel at least twice It just doesn't make sense to have such a kickass Hostel with great atmosphere only to be completely ruined by the damned train. Suggest that the hostel relocate to a much much quieter location PLEASE!
Hello, Thank you for taking the time to leave us feedback. We actually rarely have guests complain about the noise so I am wondering if your window was wide open and it was an especially bad night for the train.... We do have free earplugs at the front desk if you are a very light sleeper and sensitive to sounds. If you were a regular guest at party style hostels you would understand that there is a huge difference between 'at least two trains' and no quiet time.... I'm afraid the hostel wont be relocating anytime soon! A great many towns across B.C. are situated close to the train tracks and for the majority our town centre location is a bonus; two roads away from the tracks. There are rural accommodation choices all over the province for those seeking silence. Kind regards, Dream Team
- butterfly_ju
- Canada, Coppia, 31-40
- Nomade principiante
- 7 Recensioni
Super propre! Nous avons adoré! Les hôtes sont super amicale!
Hi! Thank you for your kind words! I'm afraid my French is terrible so please forgive me for replying in English.... It was really lovely to meet you both and a shame you were only staying the one night. We enjoyed your friendliness and enthusiasm and hope to see you again one day. It would be wonderful if you could share the photo you took so I can put you on the Wall of Fame! :-) Kindest regards, Abi
- Anonimo
- Germania, Gruppo di sole donne, 25-30
- Globetrotter
- 23 Recensioni
We had an awesome stay and everything was fine!
Thank you for reviewing us! I am thrilled to hear you had an awesome stay with us :-) We very much enjoyed your brief visit and hope you and your Mum had some great times after you left us. Happy travels, Abi
- TinaCampbell
- Irlanda, Coppia, 25-30
- Viaggiatore appassionato
- 11 Recensioni
Without a doubt, still my favourite hostel. Another amazing stay in this little gem.
Thank you for coming to stay with us again - it is always a pleasure! We are excited to read your kind words and really look forward to your next visit :-) Warm regards, Gerald
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Prenota dove vuoi e quando vuoi con le nuove app per dispositivi mobili di Hostelworld.


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Health & Safety:
We do not hear anything about someone being assulted but we make sure all of those who are new to campus or are first year students, are aware of sexual assults and rape. The campus and health center are serious about this topic. I feel very safe around campus and I am comfortable walking alone after my night classes. We have 24 hours of saftey and security police officers who make sure to ride around campus and make sure we are safe. If someone felt unsafe, I am sure Baldwin Wallace would do something about that to asure safety.
Health & Safety:
Campus seems to take care of this issue and nothing bad as occurred from this.
Health & Safety:
Overall, I feel very safe when walking across campus at night, and the officers on campus are very helpful in any situation, not only those involving crime.
Health & Safety:
I feel very secure walking on campus, even after dark. Everything is well lit, and campus security is always available. Overall an extremely safe campus.
Health & Safety:
I feel generally safe while walking home late at night on campus.
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We loved this deal too, but it's no longer available. Check out our other awesome deals here.
Northern Districts Cricket Association
$15 for a Ticket to the Good George Zone at the Northern Knights vs Canterbury Wizards HRV Cup Twenty20 Match at Seddon Park, Friday November 30th (value $40)
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- Grab a Good George Zone ticket to the Northern Knights versus the Canterbury Wizards HRV Cup Twenty20 match at Seddon Park on Friday November 30th for just $15.
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A classic Kiwi summer involves beaches, barbecues, camping and of course, days spent watching cricket in the sun. We've got a deal which will see you enjoy one of your favourite parts of summer minus the unwanted sunburn.
Pick yourself up a Good George Zone ticket to the Northern Knights versus the Canterbury Wizards HRV Cup Twenty20 match at Seddon Park on Friday 30th November for just $15. Enjoy a beverage and hot dog as you watch the game, included in the deal as well. After the match, head down to either Good George or CBD for a $10 credit.
This deal is still guaranteed to banish the winter blues for the year. Grab your mates, indulge yourself and enjoy one of the best parts of a good Kiwi summer - HRV Cup Twenty20 cricket.
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This item from Three Sisters Antiques is now in the Shop Backroom
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Fantastic Aqua Silk Dress for 22-23" Doll
This is a high quality doll dress made from fine vintage aqua silk. Although it is newly made, it is very well done and is trimmed with fine laces, a ribbon decoration and reproduction bebe pin. It also comes with a slip. The silk is a beautiful aqua color and the fabric has a few tiny holes from age, but still in excellent condition It buttons down the back and has nice wide sleeves for french doll bodies. It measures 6" across the shoulders, 15" long and sleeve length of 6 1/2". It fit perfectly on my 23" Steiner.
If you were the pending buyer of this item, go to My Account to view, track and check payment for this item.
Three Sisters Antiques
Three Sisters Antiques, Shawnee Mission, KS
Quality Antique Dolls & Dresden Porcelain Figurines
If you love beautiful things, you will love my shop!


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Your underground connection to available grants
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The Corning Incorporated Foundation provides grants across several program areas.
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- Forum: Streetwear and Denim
Wouldn't judge other people's lifestyle. This is just about denim ;-)A pair of jeans worn by someone who works as a builder and goes hiking in his spare time and one owned by a someone else who works on the computer all day and sits on the sofa the rest of his time will have a very different fading pattern. Of course, the quality of the denim plays a role too, but the aforementioned worrying about details is unnecessary.


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Mechanical Tachometers, Cables, & Drives
We still have some hard-to-find drive cables, tach drives, and adapters for several different mechanical tachometer brands and drive configurations.
Jones mechanical tachometers are not direction-sensitive. The tach will function whether the cable rotates clockwise or counterclockwise.
Stewart-Warner tachometers are direction-sensitive. You must use a drive that will turn the cable in the correct direction.
Drive Cables for Mechanical Tachometers
Drive Adapters for Mechanical Tachometers
Related Product Categories
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Video Industry News Video Company News Technology Industry News Technology Company News Novelty Industry News Novelty Company News Gay Industry News Gay Company News Legal Industry News All Company News
Released: Feb 01st, 1999
Running Time: 82
Director: Shane (I)
Company: Odyssey Group Video
Cast: Torri, Carolyn (I), India (I), Malitia, Teri Starr, Shane Tyler, David Ardell, Shane (I)
Critical Rating: AAA 1/2
Genre: Gonzo
If ya like watching Shane and her friends in a dickless slumber party atmostphere, you will know exactly where to steer potential customers.
A game of naked musical chairs is played by Shane and her friends, and Shane Tyler (the other Shane name) wins a tongue-lashing administered on Teri Starr. This party game is followed by all sorts of the expected slumber party activities, like a strap-on in a bubble bath, playing dress-up with lingerie, strip pool where Davia and others get felt up on the felt, and more.
Throughout the video a new girl, Carolyn, is introduced. She is a fan who sent in an imploring video of herself wanting to party on- or off-tape with Shane & Co. She does, indeed, get her wish.